Information Request
Your Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Your relationship to person needing bailout
*
Name of person needing bailout
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Inmate Number
Bail Amount
*
The following questions are all optional, but the additional information provided may help us speed up the bailout process.
Does this person have multiple bonds?
No
Yes
If yes, please list each bond amount and location
Does this person have one or more charges that are no bond?
Yes
No
If this person was bailed out, would they be living with you or somewhere else?
With me
Somewhere else
Please list the address where this person would be living post-bail out
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does this person have dependents they support with care or finances?
Yes
No
If yes, please list relationships (e.g., 3 children, 2 elders, etc)
Are there any concerns related to health, gender, religious sect, etc related to their pre-trial incarceration?
If this bond is paid, are there any other reasons this person would not be immediately released? (e.g., parole, have other charges, have other debts or fees owed, etc)
Anything else we should know?
How did you hear about BBO?
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